Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	AA	$794.33	$794.33	$794.33
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $338.84 / $338.84 / $676.08	Facility	QK	$338.84	$338.84	$676.08
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $204.17 / $676.08 / $912.01	Facility	QX	$204.17	$676.08	$912.01
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	QY	$338.84	$338.84	$338.84
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,380.38 / $1,380.38 / $1,621.81	Facility	QZ	$1,380.38	$1,380.38	$1,621.81
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $870.96 / $4,466.84	Professional	AA	$616.60	$870.96	$4,466.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $691.83 / $891.25	Professional	QZ	$389.05	$691.83	$891.25
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	AA	$794.33	$794.33	$794.33
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $338.84 / $338.84 / $676.08	Facility	QK	$338.84	$338.84	$676.08
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $204.17 / $316.23 / $912.01	Facility	QX	$204.17	$316.23	$912.01
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	QY	$338.84	$338.84	$338.84
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,380.38 / $1,380.38 / $1,621.81	Facility	QZ	$1,380.38	$1,380.38	$1,621.81
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $602.56 / $794.33 / $4,265.80	Professional	AA	$602.56	$794.33	$4,265.80
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $524.81 / $616.60	Professional	QZ	$446.68	$524.81	$616.60